Credentialing Specialist

Baptist Health•Homewood, AL

12d

About The Position

The Credentialing Specialist supports medical staff and allied health staff with initial and reappointment credentialing and privileging activities. The role helps ensure compliance with regulatory and accreditation standards and Orlando Health Bylaws, Rules & Regulations. It provides customer service and guidance to physicians and their office staff throughout the credentialing process, completes primary-source verification and data entry, maintains credentialing records, and supports continuous improvement and reporting. The position also provides meeting and administrative support to department chairs and medical staff leadership and manages various human resources functions.

Requirements

High school graduation or equivalent.
Knowledge of medical terminology.
Three years of credentialing or privileging experience; alternatively, one year of credentialing or privileging experience and two years of clinical experience.
An associate degree in business, health care, accounting, or a related field may substitute for two years of experience.
A bachelor's degree in health, business, or a related field may substitute for three years of experience.
Proficiency in Microsoft Word, Excel, and the Internet, and significant proficiency in a credentialing data system.

Responsibilities

Provide customer service to physicians, physician office staff, and internal customers; educate physicians and office staff about credentialing and maintain contact throughout the process.
Obtain timely and accurate primary-source verification for credentialing functions.
Enter credentialing activity accurately and promptly into physician credentialing systems; work with the IS Consultant to transition manual processes to the data system.
Maintain the medical staff database for physician and allied health credentialing and privileging activities.
Identify trends, help develop performance-improvement action plans, review departmental policies and procedures, and recommend changes to the Medical Staff Supervisor.
Develop and distribute reports using the physician database and complete assigned duties on time.
Support department and leadership chairmen with meeting calendars and notices, preparation of initial credentialing and reappointment files for the Credentials Committee, and advancement of meeting minutes to the appropriate leadership committee.
Provide clerical support to the Chief of Staff and Vice Chief of Staff in scheduling ad hoc meetings.
Manage human resources functions, including hiring, work assignments, coaching plans, and performance counseling.
Maintain regular and punctual attendance and comply with Orlando Health policies and applicable standards.
Assist the Medical Staff Supervisor with credentialing, privileging, and meeting support activities for the Orlando Health Medical Staff and its leadership.
Review processes on an ongoing basis to improve performance and meet customer needs.
Maintain confidentiality and assume responsibility for professional growth and development.
Maintain skills needed for credentialing, meeting support, and reporting related to physician activity and statistics.